Chattanooga Intelect RPW Clinical Shockwave
Clinical Shockwave Therapy Machine
In partnership with STORZ MEDICAL AG, Chattanooga has developed a radial pressure wave unit which looks to set a new global standard in RPWT for hospitals, clinics and physiotherapy practices which will be able to benefit from faster and better treatment outcomes.
The Intelect RPW incorporates touch screen technology to ensure a high degree of simplicity. The easy-to-use, menu-driven user interface with multi-lingual software guarantees reliable selection of all necessary parameters for pre- and post-treatment monitoring via Quick-link Indications, Clinical Protocols™, Clinical Resources Libraries and Patient Data cards.
Therapeutic shock waves were introduced as a medical treatment for eliminating kidney stones without causing skin injury over 20 years ago. Today the use of radial shock waves or Radial Pressure Waves (RPW) has been successfully extended to other therapeutic and wellness applications such as treating insertional tendinopathy disorders, deactivating myofascial trigger points, activation of muscle and connective tissue, dissolving calcifications, increasing circulation, acupuncture therapy, medical massage, cellulite treatment and lymphatic drainage.
Radial pressure waves offer a non invasive treatment solution to long term insertion and soft tissue pathologies. Local treatment in the affected area will support and reset the healing pattern.RPW Hypotheses
- Pain reduction: the intensive pulses transmitted from the hand piece to the tissue help inhibit the transmission of the pain signal (Gate Control theory)
- Increased metabolism: shock waves influence the tissue on a cellular level, promoting the release of pain inhibiting and inflammatory inhibiting substances
- Revascularisation: repeated shock waves influence the blood flow, promoting tissue healing and regeneration
- Reduced muscle tone: shock waves help restore a normalized muscular tone by reducing the impact of pain on muscle tone
- D-ACTOR® hand piece applicator
- R15 15 mm ESWT transmitter
- D20-S D-ACTOR® 20 mm transmitter
- Sealing set
- Guide tube (x2)
- Projectile (x3)
- Cleaning brush
- Conductor™ transmission gel 250 ml (8.5 oz) bottle (x1)
- Patient data card (x1)
- User manual on CD
- D35 D-ACTOR® 35 mm transmitter
- F15 Focus-Lens 15 mm transmitter
- DI15 Deep Impact® 15 mm transmitter
- C15 CERAma-x® ESWT 15 mm transmitter
- V-ACTOR® hand piece applicator kit that includes a V25 V-ACTOR® 25 mm vibration transmitter and a V40 V-ACTOR® 40 mm vibration transmitter
EME Services Ltd are authorised service and repair agents for Chattanooga Intelect devices.About Radial Pressure Wave Therapy
Radial shock waves (R-SW) are introduced into the body by means of a freely moved applicator and cover the entire pain region. Radial shock waves are often referred to as radial pressure waves, which is the correct definition in physical terms.
The transmitter is a compressed air operated, ballistic shock wave generator. A projectile is accelerated by compressed air. The kinetic energy stored in the motion and weight of the projectile is converted into acoustic energy in the form of long-wave shock pulses when the projectile strikes a shock transmitter.
Radial shock waves propagate divergently after application and lose energy as the penetration depth increases. They are characterised by long wave lengths and cannot be focused on deep target areas. Penetration depths are between 1 and 3 cm. Their maximum energy flux density is at the exit point from the shock transmitter.
There are different working hypotheses for the mode of action of shock waves which can also be applied to radial shock waves:
- Shock waves destroy cell membranes. Consequently, the nociceptors are no longer able to produce generator potential and can thus no longer send out any pain signals.
- Shock waves stimulate nociceptors which, in turn, release a high amount of neural pulses. As described by the Gate Control Theory, transmission of these pulses to the central nervous system is inhibited.
- Owing to the mode of action of shock waves, the chemical environment of the cells is changed by free radicals which produce pain inhibiting substances.
- Based on the hypothesis towards associative pain memory (Wess), afferent pain signals are transmitted through the central nervous system by multiple synaptic junctions which eventually cause efferent fibers to control muscle tone. The reflex mechanism works just like a regulatory circuit.
During shock wave therapy, strong pain signals are conducted electrically, stimulating chemical processes at the synaptic contact sites. The complex spatial and time-related stimulus pattern is stored at the synapses as a memory engram in the form of longterm modifications. The pathological association between pain and muscle tone and vascular tone is broken as a result of shock wave therapy and the strong stimuli it produces, thus enabling natural movement patterns to be remembered and recalled. In this manner, a non-pathological condition of the muscle tone can be restored.
Treatment results have demonstrated that shock wave therapy provides improved blood circulation in the treated pain regions and that a long term stimulation of metabolism is achieved in areas which, by nature, are poorly supplied with blood. Since repeated treatment sessions have shown to increase the beneficial effects of shock wave therapy, there is every reason to assume that shock waves also produce secondary effects as described in the hypothesis towards associative pain memory, for instance.Radial Pressure Wave Therapy Indications
- Localising and Deactivating Trigger Points. Triggers are localised at the low energy level (approximately 2 bar) by passing the transmitter over the muscle region being treated (increased sensitivity to pain) and then deactivated using a higher energy level (approximately 3 bar).
- Increasing Circulation - Promotes blood flow through the tissue and boosting metabolism.
- Pulse Vibration Massage - Soothing relief from muscle strain and stress.
- Plantar Fasciitis, Heel Pain, or Heel Spur - Plantar Fasciitis is an inflammatory condition of the foot caused by excessive wear to the plantar facia that supports the arch.
- Tendinosis Calcarea/Supraspinatus-Tendon - Shoulder calcifications and chronic shoulder pain.
- Radial and Ulnar Humeral Epicondylitis - Tennis elbow, inflammation of tendon attachments on cubital or radial part of elbow joint (humeral).
- Achillodynia - Pain due to inflammation of the Achilles tendon or the bursa associated with it.
- Retropatellar Pain Syndrome - Pain in the front of, behind, and around the kneecap.
- Tibial Edge Syndrome - Pain located along or just behind the medial edge of the tibia.
- Proximal Iliotibial Band Friction Syndrome/Trochanteric Insertion Tendonitis - Pain or aching on the outer side of the knee or hip.